Every one of us working in any healthcare venue knows the challenges we deal with when the “payer” is Medicare Advantage. I’m using that word loosely ...

Data analyzed in the New England Journal of Medicine found that states that expanded Medicaid after the Affordable Care Act’s ...

Authorities said the 64-year-old's home health agency billed Medicare over $400,000 in claims for health services and falsified records to support them.

Republican Rep. Ben Cline is standing by his man and defending President Donald Trump's "One Big Beautiful Bill," despite risks to Medicaid funding.

Two Illinois men charged in a $227 million Medicare fraud scheme involving bogus claims for COVID-19 test kits.

Raju Sharma will plead guilty to fraudulently billing Medicare for $30 million in a DME scheme, facing up to 10 years in prison and $15.8 million in restitution.

On December 11, 2024, the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), issued a Special Fraud Alert (Alert) ...

My heart sank as I opened a letter informing us the attorney general was investigating Ruth Ellen for Medicaid fraud.

Jorge Zamora-Quezada has been sentenced to a decade in prison for an 18-year healthcare fraud scheme that abused and ...

Pinellas Eye Care P.A., which operates under the brand Gulfcoast Eye Care, agreed to the settlement in a False Claims Act ...

DHS Secretary Kirsten Johnson said the crackdown on Medicaid fraud began in 2023. She cited a Journal Sentinel investigation ...

Authorities said fraudsters exploited loopholes and flooded the system with fraudulent claims for rehabilitation services ...